Individual provider · Type 1 NPI
Bret J. Rodgers
Facial Plastic Surgery Physician · Boise, ID
NPI number
1396763272
Active
Practice location
6077 N Eagle Rd
Boise, ID 83713-0997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | M8251 (ID) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | M8251 (ID) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1396763272
Bret J. Rodgers's National Provider Identifier is 1396763272, issued on Jul 18, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Boise, ID. The record was last updated on Sep 11, 2025.